COMPLETE DENTURES AND PARTIAL DENTURES CONSENT
I understand that the process of fabricating and fitting REMOVABLE PROSTHETIC APPLIANCES
(PARTIAL DENTURES and/or COMPLETE ARTIFICIAL DENTURES) includes risks and possible failures.
Even though the utmost care and diligence is exercised in preparation for and fabrication of immediate
prosthetic appliances, there is the possibility of failure with patients not adapting to the new dentures. I agree
to assume those risks and possible failures associated with but not limited to the following:
FAILURE OF IMMEDIATE COMPLETE DENTURES
There are many variables which may contribute to this
possibility such as: (1) gum tissues which cannot bear
the pressures placed upon them resulting in excessive
tenderness and sore spots, especially during healing
following extraction and denture placement; (2) jaw ridges
which may not provide adequate support and/or retention
as shrinkage occurs following extractions; (3) musculature
in the tongue, floor of the mouth, cheeks, etc., which
may not adapt to and be able to accommodate the new
artificial appliances; (4) excessive gagging reflexes as the
mouth adapts to the new dentures; (5) excessive saliva or
excessive dryness of mouth; (6) general psychological and/
or physical problems interfering with success.
FAILURE OF REMOVABLE PARTIAL DENTURES
Many variables may contribute to unsuccessful utilizing
of immediate partial dentures (removable bridges). The
variables may include those problems related to failure
of complete dentures, in addition to: (1) natural teeth to
which partial dentures are anchored (called abutment
teeth) may become tender, sore, and/or mobile as support
of the ridge changes during healing; (2) abutment teeth
may decay or erode around the clasps or attachments; (3)
tissues supporting the abutment teeth may fail after healing
is complete.
BREAKAGE
Due to the types of materials which are necessary in the
construction of these appliances, breakage may occur even
though the materials used were not defective. Factors
which may contribute to breakage are: (1) chewing on
foods or objects which are excessively hard; (2) gum tissue
shrinkage which causes excessive pressures to be exerted
unevenly on the dentures, especially as the tissues heal and
change; (3) cracks which may be unnoticeable and which
occurred previously from causes such as those mentioned
t. 01702 544 275 f. 01702 546 568 e. help@oakdentalgroup.co.uk www.oakdentalgroup.co.uk
a. Oak Dental Group, 9 West Street, The Square, Rochford, SS5 1BE
in (1) and (2); (4) use of porcelain teeth as part of the
denture, or the dentures having been dropped or damaged
previously in the event the dentures are relined. The above
factors listed may also cause extensive denture tooth wear
or chipping.
LOOSE DENTURES
Immediate complete dentures normally become less
secure over the initial months as healing progresses and the
ridge changes. Dentures themselves do not change unless
subjected to extreme heat or dryness. After several months
once healing is complete, the dentures will generally be
quite loose and a reline or even rebase (replacement of all
tissue colored material supporting the teeth) will become
necessary. During the healing process some chairside relines
may be performed, but eventually a laboratory processed
reline or rebase will be necessary. It will be necessary
to charge a fee for relining or rebasing dentures and I
understand that the fee for immediate dentures does not
cover this reline or rebase fee. Immediate partial dentures
may become loose for the same reasons listed.
ALLERGIES TO DENTURE MATERIALS
Infrequently, the oral tissues may exhibit allergic symptoms
to the materials used in construction of either partial
dentures or full dentures.
FAILURE OF SUPPORTING TEETH AND/OR SOFT
TISSUES.
Natural teeth supporting immediate partial dentures may
fail due to decay; excessive trauma; gum tissue or bony
tissue problems. This may necessitate extraction. The
supporting soft tissues may fail due to many problems
including poor dental or general health.
 UNCOMFORTABLE OR STRANGE FEELING:

This may occur because of the differences between natural teeth and the artificial dentures. Most patients usually become
accustomed to this feeling in time. However, some patients have great difficulty adapting to complete dentures.

ESTHETICS OR APPEARANCE

Patients will be given the opportunity to observe the anticipated appearance of the dentures prior to processing. If
satisfactory, this fact will be acknowledged by the patient’s signature (or signature of legal guardian) on the back of this form
where indicated.

It is the patient’s responsibility to seek attention when problems occur and do not lessen in a reasonable amount of
time; also, to be examined regularly to evaluate the tissue response to the dentures during healing, condition of the
gums, and the patient’s oral health.

INFORMED CONSENT

I have been given the opportunity to ask any questions regarding the nature and purpose of immediate dentures and
have received answers to my satisfaction. I do voluntarily assume any and all possible problems and risks, including risk
of substantial harm, if any, which may be associated with any phase of this treatment in hopes of obtaining the desired
potential results, which may or may not be achieved. No guarantees or promises have been made to me concerning
the results relating to my ability to utilize artificial dentures successfully nor to their longevity. The fee(s) for this service
have been explained to me and are satisfactory. By signing this form, I freely give my consent to allow and authorize Dr.
______________ to render the dental treatment necessary or advisable to my dental condition(s), including administering
and prescribing all anesthetics and/or medications.

CONSENT FOR IMMEDIATE COMPLETE DENTURES AND PARTIAL DENTURES:

Patient’s Signature Date

CONSENT FOR FINAL PROCESSING

I have been given the opportunity to view a wax replication of my dentures prior to final processing. I approve the color
and shape of the teeth and overall appearance of my dentures. I understand that once the dentures are processed by
the laboratory, the factors of color, shape, feel and overall appearance cannot be changed without additional and possibly
significant time being taken and fees assessed.

By signing this Consent for final processing I acknowledge my approval of the appearance.

Patient’s Signature Date

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a. Oak Dental Group, 9 West Street, The Square, Rochford, SS5 1BE